YAP-92772-85086

5 vaccinations 10 coded responses 60 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 194 / PA
Registered: 2021-01-08

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2603341 (opens in a new window)	high	11 / 11	8	1 of 2 VAERS symptoms	same dose (5)	PA matches	2022-09-21 / 2022-12-01 / 2023-03-24 received the same day as the last call	case 380904

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Moderna
2021-01-08
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Survey response — day 0, dose 2
MedDRA: Dizziness, Immediate post-injection reaction, Office visit, Presyncope, Syncope — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Vasovagal reaction within the fisrt 15 minutes causing light headed and faintness. · Healthcare visit (other): Care from the onsite vaccination clinic nurse practitioner including monitoring my breathing, heartrate and blood pressure and stabalizing my other lightheaded and fainting symptamotolgy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 0, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-06
Call 1 — Left Voicemail
2021-08-06
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Dose 3 — Moderna
2021-08-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work or attend school

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-08-25
Survey response — days 1–6 daily, dose 3
MedDRA: Diarrhoea, Discomfort, Insomnia — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Had some loose stools and now discomfort. Trouble sleeping. Insomnia.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-09-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-09
Survey response — day 21, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good

Free text: Swollen sore feeling under my arm in which I received the vaccine in August 2021. Still quite sore.

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-09-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-02-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-03
Dose 4 — Moderna
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-09
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Good · Site: Swelling, Itching

Free text: Lymph node soreness under my right arm where I received the shot

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-21
Dose 5 — Moderna
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Chills

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-09-26
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Swollen lymph node underarm injection arm

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Survey response — days 1–6 daily, dose 5
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Left under arm lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-05
Survey response — day 14, dose 5
MedDRA: Injection site pain, Injection site reaction, Musculoskeletal stiffness, Sleep disorder — Feeling: Fair

Free text: Stiffness and pain still at the injection site. Unable to even lay on that side at night.

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-19
Survey response — day 28, dose 5
MedDRA: Injection site pain — Feeling: Fair

Free text: My arm at the injection site is still very sore and has not recovered.

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-02
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-21
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-22
Survey response — 6 months, dose 5
MedDRA: Alopecia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-22
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-23
Call 1 — Requested Callback
2023-03-24
Callback requested for
10:00AM ET
2023-03-24
Call successful
Completed over the phone
2023-03-24
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna
3	2021-08-19	Moderna	No
4	2022-04-03	Moderna	No
5	2022-09-21	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-05	Successful 2023-03-24	Completed over the phone
2023-03-22	Successful 2023-03-24	Completed over the phone

Free text

Release 3 — day 0, dose 2

2021-02-05

Systemic reaction (other): Vasovagal reaction within the fisrt 15 minutes causing light headed and faintness.

Healthcare visit (other): Care from the onsite vaccination clinic nurse practitioner including monitoring my breathing, heartrate and blood pressure and stabalizing my other lightheaded and fainting symptamotolgy.

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: Fatigue

Release 9 — days 1–6 daily, dose 3

2021-08-25

Systemic reaction (other): Had some loose stools and now discomfort. Trouble sleeping. Insomnia.

Release 9 — day 21, dose 3

2021-09-09

Symptoms: Swollen sore feeling under my arm in which I received the vaccine in August 2021. Still quite sore.

Release 11 — days 1–6 daily, dose 4

2022-04-09

Systemic reaction (other): Lymph node soreness under my right arm where I received the shot

Release 12 — days 1–6 daily, dose 5

2022-09-26

Systemic reaction (other): Swollen lymph node underarm injection arm

2022-09-27

Systemic reaction (other): Left under arm lymph node

Release 12 — day 14, dose 5

2022-10-05

Symptoms: Stiffness and pain still at the injection site. Unable to even lay on that side at night.

Release 12 — day 28, dose 5

2022-10-19

Symptoms: My arm at the injection site is still very sore and has not recovered.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Dizziness	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Syncope	✓	✓	✓
SD	Alopecia	·	·	✓
SD	Axillary pain	·	·	✓
SD	Fatigue	✓	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site reaction	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Oedema peripheral	·	·	✓
SD	Sleep disorder	·	·	✓
SRO	Diarrhoea	✓	·	✓
SRO	Discomfort	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Insomnia	✓	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Presyncope	✓	✓	✓
SRO	Syncope	✓	✓	✓
SRO	Unevaluable event	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release